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Individual
MATTHEW PARKER
Active
Individual
MATTHEW PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01648100
NJ
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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